Provider Demographics
NPI:1326382128
Name:KIRIELIUS, AUDRONE (LPN)
Entity Type:Individual
Prefix:
First Name:AUDRONE
Middle Name:
Last Name:KIRIELIUS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2686 COLUMBIA TRL
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-5527
Mailing Address - Country:US
Mailing Address - Phone:513-237-7973
Mailing Address - Fax:
Practice Address - Street 1:2686 COLUMBIA TRL
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-5527
Practice Address - Country:US
Practice Address - Phone:513-237-7973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH129396164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH129396OtherOHIO BOARD OF NURSING